Provider Demographics
NPI:1295969590
Name:MALIK, TABISH HAAMID (NMD)
Entity type:Individual
Prefix:DR
First Name:TABISH
Middle Name:HAAMID
Last Name:MALIK
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HANDS-ON-HEALING CHIROPRACTIC AND WELLNESS CENTER
Mailing Address - Street 2:55 ONTARIO STREET S., UNIT B-2A
Mailing Address - City:MILTON
Mailing Address - State:ON
Mailing Address - Zip Code:L9T2M3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HANDS-ON-HEALING CHIROPRACTIC AND WELLNESS CENTER
Practice Address - Street 2:55 ONTARIO STREET S., UNIT B-2A
Practice Address - City:MILTON
Practice Address - State:ON
Practice Address - Zip Code:L9T2M3
Practice Address - Country:CA
Practice Address - Phone:647-330-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1098175F00000X
133N00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education